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Related Concept Videos

Inhalational Anesthetics: Overview01:20

Inhalational Anesthetics: Overview

Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
General Anesthesia: Overview01:24

General Anesthesia: Overview

Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

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Related Experiment Video

Updated: May 16, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Anesthetic considerations for interventional pulmonary procedures.

John Pawlowski1

  • 1Department of Anesthesia, Boston, Massachusetts 02215, USA. jpawlows@bidmc.harvard.edu

Current Opinion in Anaesthesiology
|December 14, 2012
PubMed
Summary
This summary is machine-generated.

Anesthesia choices for interventional pulmonology procedures depend on patient health and procedure type. Strategies to manage complications like pneumothorax are crucial for safe and effective interventional pulmonary treatments.

Related Experiment Videos

Last Updated: May 16, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
05:39

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Area of Science:

  • Pulmonology
  • Anesthesiology
  • Medical Technology

Background:

  • Interventional pulmonology offers alternatives to traditional surgery.
  • Technological advancements enable complex diagnostic and therapeutic procedures.
  • Anesthesia is essential for many interventional pulmonary procedures.

Purpose of the Study:

  • To review anesthetic considerations for interventional pulmonology procedures.
  • To highlight how patient health and procedure specifics influence anesthetic choices.
  • To discuss anesthetic management for novel pulmonary interventions.

Main Methods:

  • Review of recent studies on interventional pulmonology complications.
  • Discussion of strategies to prevent common procedural complications.
  • Evaluation of anesthetic techniques and ventilatory modes.

Main Results:

  • Common complications include obstruction, bleeding, pneumothorax, and air embolism.
  • High-frequency jet ventilation may reduce airway pressures and barotrauma.
  • Novel interventional pulmonary procedures are emerging.

Conclusions:

  • Anesthetic techniques must align with procedural requirements.
  • Spontaneous breathing with light sedation suits some procedures.
  • General anesthesia with mechanical ventilation, often using jet ventilation, is preferred for rigid bronchoscopy procedures.